Case Blog - International Journal of Clinical & Medical Images (2016) Volume 3, Issue 4
Author(s): Ural KOC
Clinical Presentation A 29-year-old woman presented to the emergency department with right upper quadrant pain, nause. Laboratory tests indicated a mildy increase in transaminases and total bilurubin. On physical examination, murphy’s sign was positive. Transabdominal sonography showed complete and incomplete longutinal a transverse septas in the gallbladder body (Figure A). Contrastenhanced computed tomography and magnetic resonance cholangiopancreatography (MRCP) revealed mutiple septas giving a honeycomb appearance (Figures B and C). The patient received a diagnosis of multiseptate gallbladder. The patient underwent laparoscopic surgical excision of gall bladder.
A radiological diagnosis of multiseptate gall bladder was confirmed on pathology. Gross pathology gallbladder material showed chronic cholecystitis with multiple septas. Multiseptate gallbladder is a rare congenital malformation of gallbladder that characterised by the presence of bridging multiple septas like honeycomb . Multiple septas may cause stasis of bile and effect motility [1,2]. As a result of this, cholecystitis and cholelithiasis may occur.
Multiseptate gallbladder are also related with hepatobiliary and pancreatic ductal anomalies and increased risk of cancer . Ultrasound is an important diagnostic tool for multiseptate gall bladder, on the other hand MRCP and other imaging modalities can be used for diagnosis . It is crucial to follow up and investigate cases with multiseptate gallbladder. Symptomatic cases can be treated with cholecystectomy.